Individual provider Active NPI

Ashly N Wilcox, AU.D.

  • Audiologist
  • Potomac Falls, VA
National Provider Identifier
1851962708
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201001842 Issued in VA
Practice address
46045 Palisade Pkwy Ste 200
Potomac Falls, VA 20165-8762
Phone
(703) 723-9672
Fax
(703) 724-0127
NPI assigned
Jul 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 2201001842 VA
Audiologist 231H00000X 2201001842 VA Primary

Addresses

Primary practice location

46045 Palisade Pkwy Ste 200
Potomac Falls, VA 20165-8762

Mailing address

1320 Old Chain Bridge Rd Ste 185
MC Lean, VA 22101-3945
Phone (703) 866-8819

Other practice location 1

1320 Old Chain Bridge Rd Ste 185
Mc Lean, VA 22101-3945
Phone (703) 942-8110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2201001842VAMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1851962708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 OLD CHAIN BRIDGE RD STE 185",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013945",
            "telephone_number": "703-866-8819",
            "fax_number": "855-750-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46045 PALISADE PKWY STE 200",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201658762",
            "telephone_number": "703-723-9672",
            "fax_number": "703-724-0127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 Old Chain Bridge Rd Ste 185",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221013945",
            "country_code": "US",
            "telephone_number": "703-942-8110",
            "fax_number": "703-942-8042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "ASHLY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "VA",
            "license": "2201001842",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac Falls, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.